Abstract:

Objective

To investigate the association between health anxiety metacognition， disease acceptance， and fear of disease progression in stroke patients with hemiplegia.

Methods

Using convenience sampling method， 160 stroke patients with hemiplegia admitted to the Third People's Hospital of Yancheng City from January 2022 to January 2023 were included as the research subjects. These patients completed a questionnaire survey that included the General Situation Survey Form， meta-cognitions about health questionnaire （MCQ-HA）， acceptance of illness scale （AIS）， and fear of progression questionnaire-short from（FoP-Q-SF）. Quantitative data such as health anxiety metacognitive level score， disease acceptance score，and fear disease score were analyzed. Pearson correlation analysis was used to investigate the relationships between health anxiety metacognition， disease acceptance， and fear of disease progression in stroke patients with hemiplegia. Multiple stepwise regression analysis was then conducted to identify factors influencing disease acceptance and fear of disease progression in this patient population.

Results

The score of metacognitive level of health anxiety in 160 stroke patients with hemiplegia was （40.72±10.90）. The disease acceptance score was （19.82±4.78）； The score of fear disease progression was （43.05±8.45）； The results showed that metacognition of health anxiety in stroke patients with hemiplegia was negatively correlated with disease acceptance （r=-0.215--0.652， P＜0.05）， and positively correlated with the progression of fear disease（r=0.229-0.869， P＜0.05）. Multiple stepwise regression analysis showed that the metacognitive level of health education was a influencing factor on disease acceptance and fear of disease progression in stroke patients with hemiplegia.

Conclusion

Metacognition of health concerns in stroke patients with hemiplegia is closely related to disease acceptance and fear of disease progression. The level of metacognition in health education is an influencing factor on disease acceptance and fear of disease progression in stroke patients.

Key words: Metacognition of health anxiety, Stroke, Hemiplegia, Disease acceptance, Disease progression